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NPI Code Detail

MEDICARE: JOSEPH VANCE KULBISKI CLINICAL SOCIAL WORK

MEDICARE: JOSEPH VANCE KULBISKI CLINICAL SOCIAL WORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLSCSW 2035KS

General Provider Information

NPI Number : 1598779217
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH VANCE KULBISKI CLINICAL SOCIAL WORK
Provider Business Mailing Address
First Line : 2500 MEADOWOOD DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-2029
Country : US
Telephone Number : 785-776-1711
Fax Number :
Provider Business Practice Location Address
First Line : 600 CAISSON HILL ROAD
Second Line : IRWIN ARMY COMMUNITY HOSPITAL
City : FORT RILEY
State : KS
Zip : 66442-5037
Country : US
Telephone Number : 785-239-7155
Fax Number : 785-239-7364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1659331775 — JEFFREY JOHN JOHNSON MD
Practice Location Address:
600 CAISSON HILL RD
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364
1063436376 — MR. GEORGE STEPHEN OGAN LMSW
Practice Location Address:
IRWIN ARMY COMMUNITY HOSPITAL, 600 CASSION HILL ROAD , ATTN: MCXX-CLD-QM
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364
1730103060 — DR. RICHARD EARL BAXTER PT, DSC, OCS, ATC
Practice Location Address:
600 CAISSON HILL RD, ATTN: MCXX-CLD-QM (CRED) , IRWIN ARMY COMMUNITY HOSPITAL
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364
1023022001 — DAVID A. JERABEK PT,
Practice Location Address:
IRWIN ARMY COMMUNITY HOSPITAL , 600 CAISSON HILL ROAD
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364
1285648261 — MS. ANGELA ELIZABETH CARDELLA LSCSW
Practice Location Address:
650 HUEBNER ROAD , ATTN: MCXX-CLD-QM (CRED)
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364
1740296805 — MARTIN PAUL VACANTI M.D.
Practice Location Address:
600 CAISSON HILL ROAD , IRWIN ARMY COMMUNITY HOSPITAL, ATTN: MCXX-CLD-QM CRED
FORT RILEY, KS
66442-5037
Practice Phone: 785-239-7155
Practice Fax: 785-239-7364

Directions to “ JOSEPH VANCE KULBISKI CLINICAL SOCIAL WORK” Practice Location

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